angela 's profile - Jackie Gorton Nurse Attorney

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Skin CancerPigmentaton0rsordelsOther Drsordersof the skinDrug Abuse.Mrsuse orAddictronEatrn9 D sorderSreast Cenc€rAny otner c€ncernol ftenlionedaboveAny otherconq[|on nolmentronedwhy do you wanto be a surogate Mother?I hdv€ wonied to helo o couDle aotnplelg lhera fomtlv tor overv lono lrna (ovea 10 vears). I con"l think of d b€ller wov to helD someone.Please describe your prevrous pfegnances@being oreglonl. I !l/ss healthv ond 50 were both of rnv chrlda€n.lf you are marned or In a committed reatronshrp have you d6cussed Slrrogacy wrllr your husband orpartne, ll so, what was hig/hereaction?yeJ! Mv husbond ond I hdve b€en discussino th€ possrbiliiv of sqfooocv |n olr fomilv fo. d nuhber ofyedas. We've be€n keepho on oDen dElooue dbolt when o oood tine woqld b€. We ore both fee|nothot our fomrlv is In o oood Dloce now lhof our fdhilv i5 conplele.Have you discussed Sufiogacy wrth any ot your famrly and triends, lf so. what was their €actron?Jve spoken wifh mv porants dnd sisteas. Mv notn thinks lhe Daoc€Js i5 too ooinful (for dnyohe) loendure. Mv fother rs onbrvol€nt Mv 5i5ler5 ore suDDor'live. Mv besl friend i5 gupporliv€ ond rs oo no
Heve you drscussed Surrogacy wrth your children? lf so, what w€s their reaction? lf not, how do yor.i plan lohandle it wth then?Not yel. Ive storted tolkiho wrih lhen obolt helDin otheas i|lo ver./ sDecrol wov. W€'vedlso beentolkrna oboul hosr hoppv thev hdke os. The nexl ihino Iwrll tolkwrlh lhe|n obout is how solne peopecon't hove bobr€s. ond how we con helD soheon else be os hooov os we ore with oar fo|nrlv.Who would provde yo! wilh support (emotional childc€re Injectrons) dunng the medical procedure andpregnancytEmot'oml SuDDorr - Mv husbond fomilv ond best f.'eid Mv rnorher rn-low ond s<strong>'s</strong>rer rn_loe/ help he e,ith tnv childre . Mv husbond ond/o. best friend Cflslim will h€lg walh the inreclions.The abrlty to get to medical apporntment in the Bay Area and in your community rs crucral0o you drive? X Yes_ No_ 0oyouhaveacaQ Yes_X_ l\4ake and Yearl:b9jt-.1!!q[!9_r1]93Whet rs /oJr p. maT mears of transpoda!,on?I drrve mvself wheaever I need to oo.lf you prirnary transpona on is !navaiabJe, what wrll yorr use as an alternate?..lULhg:E&l$9!How would yo! leel about meehng the child born as a result of this sufiogacy in fltlre years?I woqld be wrllino/hoepv to heet th. child bo.n from the Jq..oaocv- ollhouoh. I would be eauollv osls rt acceptable for the pDspect&e parenls to attend doclors oflic€ vrsils and panrcrpale throughoul thepregnancy prccess? _x- yes -no -undecdedls rt acceptable for the prospective parents lo be n the delivery .oom for the brdh?_X_ yes _no _undecrdedlf the trealing physiqan prescnbes ii, wrll you undergo an amniocentesis to dagnose genetrc delecls(rnclld|ng Down s Syndrorne)? Yes _X_ No _lf pre-natal tests Indicate that the fetls had a senous brnh defect and ihe couple wanted to aborl. wou d yoube willing to go thfough w[h the abortion? f]ow wolld you teel about rt?y€s f would be sdd. bul I understond oboul the fP .rohts.Would you undergo a selectrve redlclon (salt intected Into embryo(s) through the belly al 12'" week) yorrbecofte pregnant with more than twins? Yes_X_ No_How would you feel about ,t?fto mrninize lhe ne€d for salecfrve reductronlW(l you be wil |ng to sign a parentage order so that the intended parenls' names wrll go on the br.th cenific€terather than your narne and the name ofyour partner, Yes_X_No_What do you ptan to lse your fe€ fot.^ll.^. l',^AIn your own words please descflbe your personalrty and ciaraclerlf om o lovino corino oerson. I lik€ fo helD D€oDl€. f om resooasible. but f like to hove tun.What are your hobb€s interests, and lalents? I |ke to do croffs. I |ka le4anrnond workrng on newprorecls Rrohi now I om nokrno o bhnkel tor rnv dodtl
Page 1 and 2: Frst name on y AnoeloCity of Reside
Page 3 and 4: Oo any ot your siblings have lertrl
Page 5 and 6: Other STD s? _ yeg _X_no _ sell _pa
Page 7 and 8: Please st below at what age membe.s
Page 9 and 10: Ulcer of the5(Omacn ot0uoden!mGall
Page 11: SchLzophrenEManrc DepressonChnoaL0e

angela 's profile - Jackie Gorton Nurse Attorney

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